| NPI | 1568927903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN A CANALES Member 949-258-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |